KATHY TYSDAL (NPI# 1811943533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811943533 |
| Entity Type | Individual |
| Full Name | KATHY TYSDAL |
| Credential | PSHYCHATRIC RNC |
| Practice Address |
40520 Co Hwy 34 White Earth Health Center Ogema MN 56569 |
| Mailing Address |
24746 Co Hwy 1 Fergus Falls MN 56537 |
| Practice Telephone | 2189834300 |
| Practice Fax Number | 2189836217 |
| Mailing Telephone | 2187392753 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R1566585 | MN | Nursing Service Providers |
| Street Address |
40520 CO HWY 34 WHITE EARTH HEALTH CENTER |
| City | OGEMA |
| State | MN |
| Zip Code | 56569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609833607 | Joanne Mittet | Registered Nurse | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-04-26 |
| 1578629341 | Mark L Peterson | Occupational Therapist | 40520 Co Hwy 34, Ogema, MN 56569 | 2006-12-28 |
| 1780769562 | Steven W Jensen | Physical Therapist | 40520 Co Hwy 34, Ogema, MN 56569 | 2006-10-27 |
| 1073532230 | Darryl Robert Zitzow | Psychologist | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-07-19 |
| 1033149588 | Janet K Enger | Audiologist | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-07-03 |
| 1497791115 | Bonita Faye Conner | Nurse Practitioner | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-06-21 |
| 1023060852 | Maxine Lamae Olson | Registered Nurse | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-17 |
| 1154373306 | Maureen Rose Van Den Einde | Registered Nurse | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-16 |
| 1952352841 | Pamela Spaeth | Spec/Tech, Pathology | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-15 |
| 1396796280 | Joanne Pelham | Technician, Pathology | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144030 | Leah Celeste Bakken | Registered Nurse | 407 East Main St, Ogema, MN 56569 | 2019-09-27 |
| 1427399237 | Kathleen Elizabeth Morris Laswell | Nurse Practitioner | 40502 Cty Hwy 34, Ogema, MN 56569 | 2013-03-05 |
| 1457639551 | White Earth Band of Ojibwe - Indian Child Welfare | Social Worker | 301 Feather Street, Ogema, MN 56569 | 2011-07-25 |
| 1053432203 | Jack Thomas Mohr | Pharmacist | Phs Indian Health Service, 40520 Co. Hwy 34, Ogema, MN 56569 | 2007-04-03 |
| 1154372050 | Patricia Ann Sniezek | Nurse Practitioner | 40520 County Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-15 |
| 1568952752 | Jordyn Kathleen Steffes | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
| 1942790118 | Mary Beth Simon | Radiologic Technologist | 40520 Cty Hwy 34, Ogema, MN 56569 | 2018-05-14 |
| 1780174979 | Jacqueline Lois Zortman | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
| 1720597933 | Stephanie Lynn Tilton | Physical Therapist | 40520 County Highway 34, Ogema, MN 56569 | 2017-09-20 |
| 1053677062 | Sandra J. Holmgren | Nurse Practitioner | 40520 County Highway 34, Ogema, MN 56569 | 2012-04-03 |
| Find all providers in zip 56569 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073095063 | Taylor Ohotto | Registered Nurse | 644 Willoughby Way W, Hopkins, MN 55305-5352 | 2018-09-05 |
| 1043650534 | William Clare Cebulla | Registered Nurse | 29538 Olinda Trl, Lindstrom, MN 55045-9440 | 2013-06-27 |
| 1851638159 | Mary Kay Borgstrom | Registered Nurse | 905 Forest Ave E Ste 150, Mora, MN 55051-1632 | 2013-01-08 |
| 1780951103 | Helen Margaret Knox | Registered Nurse | Hennepin County Government Center A14, 300 So 6th St, Minneapolis, MN 55487-0001 | 2011-11-30 |
| 1023229085 | Patricia K. Cretilli | Registered Nurse | 5430 Edgewater Blvd, Minneapolis, MN 55417-2604 | 2007-05-24 |
| 1093862732 | April Leta Wolfson | Registered Nurse | 327 Marschall Rd # 350, Shakopee, MN 55379-1687 | 2007-01-04 |
| 1992716245 | Cheryl A. Covert | Registered Nurse | 1044 Saint Johns Bay, Woodbury, MN 55129-8537 | 2006-08-11 |
| 1730164567 | Kathleen J Lietzau | Registered Nurse | 6950 146th St W, Suite 100, Apple Valley, MN 55124-4513 | 2005-12-14 |
| 1760956668 | Kathleen Elizabeth Pengelly | Registered Nurse | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-01-15 |
| 1255777322 | Sandra Jean Shadley | Registered Nurse | 225 Sherburne St N, Stillwater, MN 55082-4726 | 2013-05-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.